Clinical measurement of compensatory torsional eye movement during head tilt

Gravity Influences How We Expect a Cursor to Move

We expect a cursor to move upwards when we push our computer mouse away. Do we expect it to move upwards on the screen, upwards with respect to our body, or upwards with respect to gravity? To find out, we asked participants to perform a simple task that involved guiding a cursor with a mouse. It took participants that were sitting upright longer to reach targets with the cursor if the screen was tilted, so not only directions on the screen are relevant. Tilted participants' performance was indistinguishable from that of upright participants when the screen was tilted slightly in the same direction. Thus, the screen's orientation with respect to both the body and gravity are relevant. Considering published estimates of the ocular counter-roll induced by head tilt, it is possible that participants actually expect the cursor to move in a certain direction on their retina.

Ocular Cyclorotation and Corneal Axial Misalignment in Femtosecond Laser-Assisted Cataract Surgery

Purpose: To explore ocular cyclorotation and the source of corneal axial misalignment during femtosecond laser-assisted cataract surgery (FLACS).Methods: Forty-five sequential patients (50 eyes) who had undergone FLACS (LenSx Laser System, Alcon Inc) were recruited. We took screenshots from videos of FLACS to analyze ocular cyclorotation and the real angle between primary incision and secondary incision (RAPS). In addition, crystalline lens tilt and theoretic angle between the primary and secondary incisions (TAPS) was also calculated.Results: The mean absolute value of ocular cyclorotation was 8.03 ± 4.48 degrees (0-19.1 degrees). The crystalline lens tilt was 3.30 ± 1.44 degrees (0.93-6.44 degrees). And the mean preoperative uncorrected visual acuity was 0.89 ± 0.50 LogMAR units. Pearson bivariate correlation analysis showed significant positive correlation between ocular cyclorotation with crystalline lens tilt (r = 0.37, p = .008), and ocular cyclorotation negatively correlated with axial length (r = -0.29, p = .038). In addition, the TAPS was 89.78 ± 1.45 degrees, and the RAPS was 85.68 ± 2.04 degrees. The angle error was 4.11 ± 1.28 degrees (p<0.001).Conclusions: Ocular cyclorotation commonly occurred during FLACS. In addition, increased axial length was associated with less ocular cyclorotation and increased crystalline lens tilt was related to more ocular cyclorotation. Importantly, machinery systemic errors during corneal astigmatism correction by arcuate incision in FLACS should be taken into consideration.

Analysis of torsional eye movements using the corneal birefringence pattern

The literature mentions several invasive methods to measure the degree of the compensatory torsional eye movement during a head-tilt. Nevertheless, none of them have yielded universally clinical tests. This study focuses on an optical system (with a circular polarizer) for noninvasive acquisition of corneal birefringence patterns (isochromes). The acquired isochromes are quadrangular in shape and unique for each eye, as well as independent of the head-rotation angle. The results obtained suggest that isochrome orientation analysis could be an effective method to accurately measure the degree of compensatory torsional eye movement.

Age-related change and sex difference over 60s in disc-fovea angle in Japanese population: the Nagahama Study

PURPOSE

To analyse the disc-fovea angle (DFA) by age group and to compare sex differences in each age group in a large cohort population.

METHODS

This community-based cross-sectional cohort study included 9682 eyes of 9682 volunteers (aged 30-75 years). We measured the DFA, which is the angle between a horizontal line and a line connecting the fovea with the centroid of an optic disc on fundus photographs of the right eye. We manually marked the fovea and surrounded the optic disc. The centroid of an optic disc and the DFA was automatically calculated using originally developed software. We compared the DFA between age groups in 10-year increments and investigated sex differences of DFA in each age group.

RESULTS

Overall mean DFA was 6.32 ± 3.53°. The DFA of older subjects was significantly larger than that of younger subjects (p < 0.001). The DFA of women was larger than that of men in their 60s and 70s (p < 0.001 for both), but not in subjects in their 30s, 40s and 50s.

CONCLUSION

Larger DFA in women than in men in their 60s and 70s suggests the possibility that age-related excyclo-shift occurs more easily in postmenopausal women compared to men of the same age.